Individual provider Active NPI

John McBarron Hodgson, M.D.

  • Cardiovascular Disease Physician
  • Murray, KY
National Provider Identifier
1669586269
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35058413 Issued in OH
Practice address
300 S 8TH St Ste 180W
Murray, KY 42071-2444
Phone
(270) 762-1560
Fax
(270) 752-2861
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD435886 PA
Cardiovascular Disease Physician 207RC0000X 56062 KY
Interventional Cardiology Physician 207RI0011X MD435886 PA
Cardiovascular Disease Physician 207RC0000X 35058413 OH Primary

Addresses

Primary practice location

300 S 8TH St Ste 180W
Murray, KY 42071-2444

Mailing address

300 S 8TH St Ste 480W
Murray, KY 42071-2403
Phone (270) 762-1321

Other identifiers 3

IdentifierTypeStateIssuer
MA102229549MedicaidPA
076050MedicaidOH
7100807190MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081230000210 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4284697616 Reassigns benefits to 1 organization
I20130910000121 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284697616 Reassigns benefits to 2 organizations
I20220420002534 KY Practitioner - Interventional Cardiology 4284697616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35058413OHMDCardiovascular Disease Physician
MD435886PAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization Cardiovascular Disease Current Accepting new patients
The Union Hospital Association CurrentSince Mar 20, 2023 Accepting new patients
The Metrohealth System CurrentSince Oct 21, 2006 Accepting new patients
Evangelical Medical Services Organization CurrentSince Feb 22, 2017 Accepting new patients
Evangelical Medical Services Organization CurrentSince Feb 22, 2017 Accepting new patients
The Metrohealth System CurrentSince Oct 21, 2006 Accepting new patients
The Metrohealth System Current Accepting new patients
Murray-Calloway County Public Hospital Corporation Interventional Cardiology CurrentSince Jan 13, 2022 Accepting new patients
The Union Hospital Association CurrentSince Mar 20, 2023 Accepting new patients
Murray-Calloway County Public Hospital Corporation CurrentSince Jan 13, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

300 S 8th St
Ste 182W
Murray, KY 42071
Phone (270) 762-1560

300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

300 S 8th St
Ste 180W
Murray, KY 42071
Phone (270) 753-7440

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

Interoperability endpoints

  • Direct secure messaging: john.hodgson.1@9266.direct.athenahealth.com
  • Direct secure messaging: jhodgson2161@direct.metrohealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1669586269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 480W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712403",
            "telephone_number": "270-762-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 180W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712444",
            "telephone_number": "270-762-1560",
            "fax_number": "270-752-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "JOHN",
        "middle_name": "MCBARRON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD435886",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "56062",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD435886",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35058413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA102229549",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076050",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100807190",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.